NPI | 1598118200 |
---|---|
Entity Type | Organization |
Authorized Contact | SIVAGAMA SUNDARI DORAIRAJ Managing Member 413-998-3446 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA DS90050) |
Enumeration Date | 2016-07-18 |
Last Update Date | 2016-07-19 |